Individual provider Active NPI

Rebecca L Wysoske, MD

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1952396434
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21951 Issued in NE
Practice address
985578 Nebraska Medical Center
Omaha, NE 68198-5578
Phone
(402) 552-6007
Fax
(402) 552-6225
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 46517 WI
Psychiatry Physician 2084P0800X 21951 NE Primary

Addresses

Primary practice location

985578 Nebraska Medical Center
Omaha, NE 68198-5578

Mailing address

985578 Nebraska Medical Center
Omaha, NE 68198-5578
Phone (402) 552-6007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000458 NE Practitioner - PsychiatryPractitioner - Internal Medicine 5799766366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

42 ND Dewey St
Unmc Physicians Dewey Ave
Omaha, NE 68198-1023
Phone (402) 552-6007

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21951NEMDPsychiatry Physician
46517WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Jan 1, 2007 Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Alegent Health Bergan Mercy Health System Psychiatry Past Accepting new patients

Locations

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

415 S 25th Ct
Omaha, NE 68131
Phone (402) 717-5300

42nd Dewey St
Omaha, NE 68198
Phone (402) 552-6244

Interoperability endpoints

  • Direct secure messaging: rwysoske29942@direct.nebraskamed.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1952396434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985578 NEBRASKA MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985578",
            "telephone_number": "402-552-6007",
            "fax_number": "402-552-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985578 NEBRASKA MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985578",
            "telephone_number": "402-552-6007",
            "fax_number": "402-552-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSOSKE",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "46517",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "21951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.